Medicare-Medicaid Payment Incentives and Penalties SummitThe Leading Forum on Recovery Audits, Readmissions, Value-Based Purchasing, HACs and Never Events, and Managing to Medicare Margins

The FIRST NATIONAL

May 30 – June 1, 2012Hyatt Regency Crystal City at Reagan Airport

Arlington, VA

SILVER GRANTOR:

BRONzE GRANTORS:

MEdIA PARTNERS:

SUMMIT CO CHAIRS:Amy Boutwell, MD, MPP, Founder, Collaborative Healthcare Strategies, Co-Founder, STAAR Initiative, Faculty, Harvard Medical School (Co Chair, Readmissions Content)

Jackie H. Edwards, Partner, Health Industries Advisory, Revenue Performance Man-agement Practice, PwC (Co Chair, Hospital Financial and Quality Management Content)

Day Egusquiza, President, AR Systems, Inc. (Co Chair, Recovery Audit Contracting Content)

Nancy Foster, Vice President of Quality and Patient Safety Policy, American Hospital Association (Co Chair, Readmissions Content)

Kathleen Goonan, MD, Chief Executive Officer, Goonan Performance Strategies, LLC, Associate in Health Policy, Massachusetts General Hospital (Summit Co Chair)

Larry T. Hegland, MD, Chief Medical Officer, Ministry Saint Clare’s Hospital, The Diagnostic and Treatment Center (Co Chair, Recovery Audit Contracting Content)

Sara Rosenbaum, JD, Chair of the Department of Health Policy and Harold and Jane Hirsh Professor of Health Law and Policy, George Washington University (Summit Co Chair)

Bruce Spurlock, MD, President and Chief Executive Officer, Convergence Health Consulting, Inc. (Co Chair, Readmissions Preconference)

Shane Wolverton, Principal, The Delta Group (Co Chair, Hospital Financial and Quality Management Content)

KEYNOTE SPEAKERS:Jonathan Blum, MPP, Deputy Administrator and Director of the Center for Medicare, Centers for Medicare and Medicaid Services, US Department of Health and Human Services

Melanie Bella, Director of the Federal Coordinated Health Care Office, Centers for Medicare and Medicaid Services, US Department of Health and Human Services

Richard Clarke, President, Healthcare Financial Management Association (HFMA)

Ceci Connolly, Managing Director, PwCHealth Research Institute

Cindy Mann, Deputy Administrator and Director, Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services, US Department of Health and Human Services

A Hybrid Conference,

Internet Event & Training Tool

See page 4

www.MedicareMedicaidPaymentSummit.com

AddITIONAL GRANTORS:

CO-LOCATEd WITH THE SEVENTH NATIONAL MEDICAID CONGRESS • www.MedicaidCongress.com

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SPECIAL SuMMIT ATTENDEE SuBSCRIPTION OFFER

Save $173 off the annual subscription rate for your first year, plus you can cancel at any time and receive a pro rata refund.SPECIAL ANNUAL SUBSCRIP-TION RATE — pay just $295 instead of the regular $468.Use the Summit Registration Form in this brochure and complete the respective newsletter subscription information.

“You don’t need a weatherman to know which way the wind blows” — Bob Dylan

There is a new day coming. It won’t happen overnight, but in bits and pieces the health care system, like it or not, is being moved in a different direction. It is no longer about volume,

units of service, FFS payment for activity, and pay now and audit later. It is increasingly about value, outcome, bundled or global payment, and the end of “pay and chase” when it comes to right payment.One of the most significant changes in the Medicare and Medicaid program recently has been the introduction of “recovery audit con-tracting” (RAC) as a way of assuring that proper payments are being made for Medicare and now Medicaid services. Contractors are now incentivized with contingency fees to find improper payments to providers of government health care services. And the Affordable Care Act (ACA) provided a renewed sense of vigor and urgency to the process of rooting out waste, fraud, and abuse. Congress likes the concept. And the Administration counts on it for needed savings.But the new era is not just about payment and finances. CMS now publicly reports hospital 30-day Medicare readmission rates as a measure of hospital performance and “quality” with new financial penalties beginning in FY 2013 and beyond for hospitals with unac-ceptably high rates. Fair or not, properly defined or not, the penalties can be serious, and transparency and payment strategies are now seen as key tools for both reducing health care costs and improving health care quality.Finally, the Federal government and many national commercial pay-ers are now experimenting with new value-based purchasing designs based on hospitals’ demonstrated quality and financial performance, including the quality of the patient experience. Re-tooling and re-design are the new watchwords. Engagement of boards, medical staff, and patients are the new imperatives.The Summit will bring together the leading national experts in pay-ment policy, care delivery, operations, and technology and innovation from government, academia, the research community, health plans, hospitals, and consumer organizations. Highly successful models will be highlighted. Networking opportunities will abound. Special training programs are offered for both RAC and readmissions, giving hospitals the chance to send teams at reduced rates. In short, with so much at stake, this is a “must attend” event for health plans, health systems, hospitals, and their health care and patient partners.

Who Should Attend:This is a conference that stretches across virtually all aspects of hospital and health system operations and the provider partnerships that are important to them in this new value-based world. Those who would benefit from this conference and its training programs include:• Employersandemployercoalitions• Healthplans• Hospitalandhealthsystemchiefexecutiveofficers, chiefoperatingofficers,andchieffinancialofficers• Hospitalandhealthsystemmedicaldirectorsanddirectors of nursing• Patientsafetyofficers• Complianceofficers• Dischargeplanningandsocialservicesmanagers• RACLiaisons,coders,andpatientaccountsstaff• Healthcareattorneys• Practicingphysiciansandphysicianorganizations• Physicianassistants,nursepractitioners,nursecase managers and other allied health professionals on a primary care team• Communityclinicsandneighborhoodhealthcenters• Patientadvocaterepresentatives• Organizationsrepresentingvulnerablepopulationsand individuals with special needs• Diseasemanagementorganizations• Pharmaceuticalcompaniesandpharmacybenefitmanagers• Healthcareinformationtechnologymanagers• Accreditationorganizations• Federal,state,andlocalgovernmenthealthagencies• Vendorsandconsultingfirmsspecializinginauditsand appeals, revenue cycle management, transitions of care, health literacy and health coaching, risk adjustment, predictive modeling, clinical documentation improvement, patient safety, telehealth and remote patient monitoring, and quality measurement

THe FIRST NATIoNAl MEDiCArE-MEDiCAiD PAyMEnT inCEnTivES AnD PEnALTiES SUMMiT

Accountable Care News, Medical Home News, Predictive Modeling News, and the newly launched Read-missions News represent a family of publications dedicated to providing the most in-depth and up-to-date news and analysis in their respective fields. They are now pleased to offer attendees of the First Medi-care-Medicaid Payment Incentives and Penalties Summit a very special discounted subscription offer.All four publications offer 12 pages of outstanding content each month on ACOs, the patient-centered medical home, predictive modeling, and all payer all cause hospital readmissions, respectively. Every issue includes three in-depth feature articles, brief updates on late-breaking indus try news and resources, a Thought Leader segment featuring national opinion leaders commenting on an important issue of the day, and an interview with a key figure in the field.

SPECIAL SUBSCRIPTION OFFER

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The RAC Certificate Program curriculum and requirements are as follows:

•Completepre-conferencereadings(asneeded,upto6hours)•CompleteonlinetrainingmodulespreparedbyDavisWright TremaineandDeloitte &Touche(3hours)•Considerquestionsinconjunctionwithcompletionofthe pre-conference readings (1 hour)•AttendtheAdvancedRACPreconferenceonDocumentationand Appeals (4 hours)•AttendtheentiresetofRACsessionsonDayII(8hours)•Successfullycompletethepost-conferenceonlineexamwithin 90 days with a score of 70% or better (1 hour)

Who Should Attend? Those who are interested in understanding and working in the rapidly changing program integrity environnment, including Medicare and Medicare RACs, Medicaid Integrity Contrac-tors (MICs), Zone Program Integrity Contractors ZPICs), Federal and State OIG compliance audits, and new roles for MACs. Certifi-cate program content is directed primarily at hospitals and physician practices but is relevant for all players — skilled nursing facilities, other health care providers, government agencies, health plans, and con-sumer groups.

The Medicare Readmissions Certificate Program curriculum and requirements are as follows:

•Completepre-conferencereadings(6hours).•Completeonlinetrainingmodulesonpreparingforandresponding

to Medicare readmissions policies and rules (3 hours).•Considerquestionsinconjunctionwithcompletionofthe

pre-conference readings (1 hour).•AttendtheReadmissionsPreconferenceonHospitalandHealth

System Best Practices (4 hours).•AttendtheentiresetofReadmissionssessionsonDayII(8hours).•Successfullycompletethepost-conferenceonlineexamwithin

90 days with a score of 70% or better (1 hour).

Who Should Attend? Those who are interested in understand-ing and working successfully in the new Medicare — and emerging Medicaid and private payer — environments regarding strategies (and penalties) associated with preventable hospital readmissions. This may include government agencies, consumer groups, patient quality organizations, health plans, hospitals, nursing homes, physicians and physician organizations, home health agencies, nurses and other clini-cians, medical coding and billing staff, health care financial personnel, and many others.

CErTiFiCATE PrOGrAMS OFFErED in COnJUnCTiOn WiTH THE MEDiCArE-MEDiCAiD PAyMEnT SUMMiTGroup registration discounts enable hospitals and health systems to enroll teams of people with different job functions and skills who can complete the two special certificate programs that are available.

Learning Objectives: The purpose of these two certificate programs is to give participants the understanding and tools with which to work successfully on (1) Medicare and Medicaid RAC and MAC issues and requirements and (2) the emerging issues around all cause readmissions, but especially the new rules governing measurement, penalties, and assistance for Medicare readmissions. By the end of this training, participants will be able to create an action plan that will outline key initiatives to be taken with respect to RAC or readmissions implementation and track-ing in their own organizations.Program Description: These are practical, in-depth programs for those professionals who want to understand RAC and readmissions issues in the context of their own local settings. The program will be geared to those who have had limited training, but will also cater to those who have increasing levels of knowledge and training in the field.Program Completion: Those who successfully complete the course requirements (steps 1 through 6 above) will receive a certificate of com-pletion of the RAC Certificate Program or the Readmissions Certificate Program. A 40-question online examination, based entirely on specific RAC or readmissions presentations at the conference, must be taken within 90 days of the conference. Candidates must achieve a score of 70% or more to earn the certificate. Participants have three attempts, and different questions rotate through the exam.Are these Certificate Programs a Professional Certification? No, they are not. These programs constitute an attempt to organize a focused curriculum around implementation strategies and issues pertaining to recovery audit contracting and hospital readmissions, while giving evidence of successful completion of that body of knowledge through the issuance of a certificate of completion.

AN EXAMPLE OF A HOSPITAL OR HEALTH SYSTEM TEAM CERTIFICATE PROGRAM

Group discount Allows Multiple Staff to Pursue RAC or Readmissions Certificates

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Wednesday, May 30, 2012

PRECONFERENCE SYMPOSIA

PRECONFERENCE I — Recovery Audit Contracting

7:00 am Registration Commences

8:00 am Part I — Specific Case Studies of Coding and Clinical Documentation Issues and How to Prevent Them

DayEgusquiza,President, AR Systems, Inc., Twin Falls, ID (Co Chair)Barbara Flynn, Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FLStevenJ.Meyerson,MD,Vice President, Accretive Physician Advisory Services®, Accretive Health, Inc., Chicago, IL

9:45 am Break

10:00 am Part II — Specific Case Studies of Successful Discussion Period and Appeal Strategies

AndrewB.Wachler,Esq.,Principal, Wachler & Associates, PC, Royal Oak, MI DeniseWilson,Director, Audit and Appeals Services, Intersect Healthcare, Inc., Lutherville, MD

11:45 am Adjournment

PRECONFERENCE II – Best Practices in Preventing unnecessary Readmissions

7:00 am Registration Commences

8:00 am Preconference Welcome and Overview

BruceSpurlock,MD,President and Chief Executive Officer, Convergence Health Consulting, Inc., Roseville, CA (Co Chair)

8:15 am Communitywide Collaboration to Prevent Readmissions

TeresaCutts,PhD,Program Director of Research and Innovative Practice, Methodist Le Bonheur Healthcare, Memphis, TN

8:45 am Improving Health Literacy to Reduce Readmissions

Aracely Rosales, Chief Content Expert and Multilingual Director, Health Literacy Innovations, Philadelphia, PA

9:15 am Pharmacist-Led Transitional Care Program

JoanneHeil,PharmD,RN,BCPS(AQCardiology),Director, Advanced Practice Heart Failure/Transplant Pharmacy Depart-ment; Coordinator, Heart Failure Transition of Care Program, Thomas Jefferson University Hospital, Philadelphia, PA

9:45 am Break

10:15 am Hospital Post-Discharge Clinics

DeanWatson,MD(Invited),Chief Medical Officer, Memorial HealthCare, Tallahassee, Tallahassee, FL

10:30 am New Tools for Nursing Homes

DanOsterweil,MD(Invited),Professor of Medicine at UCLA; Founder of Specialized Ambulatory Geriatric Evaluation (S+AGE™) Clinic, Sherman Oaks Hospital, Sherman Oaks, CA

11:00 am Ensuring Safe Transitions from Hospital to Home — the Axial Exchange Winning App in the HHS Partnership for Patients Challenge Competition

Joanne Rohde, Chief Executive Officer, Axial Exchange, Raleigh, NC

11:30 am Wrap-up and Final Q&A

BruceSpurlock,MD,President and Chief Executive Officer, Convergence Health Consulting, Inc., Roseville, CA (Moderator)

11:45 am Adjournment

Participation Options Traditional Onsite AttendanceSimply register, travel to the conference city and attend in person.PROS: subject matter immersion; professional networking opportunities; faculty interaction.

Live and Archived Internet AttendanceWatchtheconferenceinlivestreamingvideoover the Internet and at your convenience at any time 24/7 for six months immediately following the event.The archived conference includes speaker videos and coordinated PowerPoint presentations.PROS: Live digital feed and 24/7 Internet access forthenextsixmonths;accessibleintheoffice,at home or anywhere worldwide with Internet access; avoid travel expense and hassle; no time awayfrom theoffice.

Onsite

At your office . . .

. . . or home

Hotel Information/Reservations TheHyattRegencyCrystalCityistheofficialhotelfortheFIRSTNA-TIONALMEDICARE-MEDICAIDPAYMENTINCENTIVESANDPENALTIESSUMMITco-locatedwiththeSEVENTHNATIONALMEDICAIDCONGRESS.Aspecialgroup-rateof$189.00single/double per night (plus tax) has been arranged for Summit attendees. To preview the hotel website and reserve your room at the group rate, please visit www.MedicareMedicaidPaymentSummit.com To make a reservation via phone, please call 1- 888-421-1442 and reference “Medicare-Medicaid Payment Incentives” in order to receive the group rate. Reservations at the group rate will be accepted while rooms are available or until the cut-off date of Tuesday, May 1, 2012. After this date, reser-vations will be accepted on a space-available basis at the prevailing rate.

Hyatt Regency Crystal City 2799JeffersonDavisHighway Arlington,VA22202-USA

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Wednesday, May 30, 2012

NATIONAL MEdICARE-MEdICAId PAYMENT SUMMIT

Opening Joint Plenary Session with the Seventh National Medicaid Congress

THE CuRRENT MEDICARE AND MEDICAID LANDSCAPE

1:00 pm Welcome and Overview

SaraRosenbaum,JD,MACPAC Commissioner; Chair of the Department of Health Policy and Harold and Jane Hirsh Profes-sor of Health Law and Policy, George Washington University, Washington, DC (Co Chair)

1:15 pm The Medicare of Tomorrow — a Value-Based Purchaser

Jonathan Blum, MPP, Deputy Administrator and Director of the Center for Medicare, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

2:00 pm Medicaid 2014 — Managing Expansion in Partnership with the States

Cindy Mann, Director, Center for Medicaid and State Opera-tions (CMSO) Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

2:45 pm Program Integrity in Medicare and Medicaid — the End of “Pay and Chase”

Staff Member, Center for Program Integrity, Centers for Medi-care and Medicaid Services, US Department of Health and Hu-man Services, Baltimore, MD

3:15 pm Networking Break

3:45 pm New Opportunities for Coordinating Care for Dual Eligibles

Melanie Bella, Director, Federal Coordinated Health Care Office, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

4:15 pm Key Medicare Policy Issues Ahead

RobertA.Berenson,MD,FACP,Institute Fellow at the Urban Institute, Washington, DC

4:45 pm Key Medicaid Policy Issues Ahead

SaraRosenbaum,JD,MACPAC Commissioner; Chair of the Department of Health Policy and Harold and Jane Hirsh Profes-sor of Health Law and Policy, George Washington University, Washington, DC

5:15 pm The Supreme Court and the Future of Medicaid

TimothyS.Jost,JD,Robert L. Willet Family Professor of Law, Washington and Lee University School of Law, Lexington, VA

5:45 pm Adjournment and Joint Networking Reception

Thursday, May 31, 2012

NATIONAL MEdICARE-MEdICAId PAYMENT SUMMIT

day II

CONFERENCE THEME I — Recovery Audit Contracting

8:00 am Welcome and Overview

LarryT.Hegland,MD,Chief Medical Officer, Ministry Saint Clare’s Hospital, The Diagnostic and Treatment Center, Weston, WI (Co Chair)

8:15 am The Complete Audit Landscape — RAC, MIC, and OIG Partner

Maria Perrin, Chief Business Officer, HMS Holdings Corp., New York, NY

8:45 am Prepayment Review — update on MAC and upcoming RAC Activity

Barbara Flynn, (FCSO MAC), Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FLJeffreyE.Epstein,MD,(Highmark MAC), Medical Director, Continuum of Care Department, Morristown Medical Center, Atlantic Health System, Morristown, NJMichael S. Routh, (Trailblazer MAC), RAC Coordinator, Midland Memorial Hospital, Midland, TXJohnZelem,MD,FACS,Senior Director, Audit, Compliance and Education, Executive Health Resources, Newtown Square, PA (Moderator)

9:30 am CMS Rebilling Initiative

Mike Frith, Regional Manager, Patient Accounts, Trinity Health-Saint Alphonsus, Boise, ID

10:15 am Break

10:45 am Preparing for an ALJ Level Appeal — A Mock ALJ Hearing

RalphWuebker,MD,MBA,Vice President, Audit, Compliance and Education, Executive Health Resources, Newtown Square, PAJohnZelem,MD,FACS,Senior Director, Audit, Compliance and Education, Executive Health Resources, Newtown Square, PA

11:15 am AHA Advocacy update

Elizabeth Baskett, Senior Associate Director, Policy, American Hospital Association, Washington, DC

12:00 pm Networking Lunch

1:00 pm Welcome and Overview

1:15 pm Hot Spots for Hospitals and Physicians

DayEgusquiza,President, AR Systems, Inc., Twin Falls, ID (Co Chair)

1:45 pm update on Physician Practice Audit Issues

Margie McLean, Chief Executive Officer, QMACS, Inc., Dallas, TX

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2:15 pm Engaging and Educating Physicians Around Key Coding and Medical Necessity Issues

Steven J. Meyerson, MD, Vice President, Accretive Physician Advisory Services®, Accretive Health, Inc., Chicago, IL

2:45 pm Using PEPPER and CERT Reports to Reduce Improper Payment Vulnerability

Cheryl Ericson, MS, RN, Manager of Clinical Documentation Integrity and Utilization Review, The Medical University of South Carolina (MUSC), Charleston, SC

3:15 pm Networking Break

3:45 pm Coordinating Medicaid Audits — RAC, MIC, and OIG

Markus Cicka, Director, Missouri Medicaid Audit and Compliance, State of Missouri, Jefferson City, MO

4:15 pm Post Acute — a Viable Target for RACs and MACs: What Your Organization Can Do to Avoid the Potential Risks

Jane Snecinski, President, Post-Acute Advisors, Atlanta, GA

4:45 pm Legal Update

Sara Kay Wheeler , Partner, King & Spalding, LLP, Atlanta, GALinda Fotheringill, Co-Founder and Partner, Washington & West, LLP, Baltimore, MDMary C. Malone, Director and Attorney, Hancock, Daniel, Johnson & Nagle, P.C., Glen Allen, VA

5:30 pm Adjourn

CONFERENCE THEME II — Readmissions

8:00 am Welcome and Overview

Amy Boutwell, MD, MPP, Founder and President, Collab-orative Healthcare Strategies; Co-Founder, STAAR Initiative; Faculty, Harvard Medical School, Lexington, MA (Co Chair)

8:15 am The National Readmissions Landscape

Amy Boutwell, MD, MPP, Founder and President, Collab-orative Healthcare Strategies; Co-Founder, STAAR Initiative; Faculty, Harvard Medical School, Lexington, MA

8:45 am CMS Initiatives Around Preventable Readmissions

Linda Magno, MPA, Director, Medicare Demonstrations Group, Office of Research, Development and Information, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

9:30 am Seeing Readmission as a Community Problem: Lessons from Maryland, Medicare, and Measurement

Stephen F. Jencks, MD, MPH, Independent Consultant; Former Director of the Quality Improvement Group, Office of Clinical Standards and Quality, Centers for Medicare and Med-icaid Services, US Department of Health and Human Services; Former Assistant Surgeon General, US Public Health Service, Washington, DC

10:00 am Break

10:30 am How Well Does Predictive Modeling Actually Predict Readmissions Risk?

Ian Duncan, FSA, FIA, FCIA, MAAA, Visiting Associate Professor, Department of Probability and Applied Statistics, University of California Santa Barbara; Co-Founder, Solucia Consulting,Santa Barbara, CA

11:00 am Understanding Readmissions

Arnold Epstein, MD, MA, John H. Foster Professor of Health Policy and Management; Chair, Department of Health Policy and Management, Harvard School of Public Health, Boston, MA

11:30 am Faculty Panel

Amy Boutwell, MD, MPP, Founder, Collaborative Healthcare Strategies; Co-Founder, STAAR Initiative; Faculty, Harvard Medical School, Lexington, MA (Moderator)

12:00 pm Networking Lunch

1:00 pm Welcome and Overview

Nancy Foster, Vice President of Quality and Patient Safety Policy, American Hospital Association, Washington, DC (Co Chair)

1:15 pm Readmissions — the AHA Perspective

Nancy Foster, Vice President of Quality and Patient Safety Policy, American Hospital Association, Washington, DC

1:45 pm A Template for Calculating Revenue Loss Due to Reduced Readmissions

Rosemary Rotty, MHA, FHFMA, Director, Service Line Finance, UMass Memorial Medical Center, Worcester, MA

2:15 pm Statewide QIO Initiative on Safe Transitions

Rebekah Gardner, MD, Senior Medical Scientist, Healthcentric Advisors; Assistant Professor of Medicine, Brown University, Providence, RI

2:45 pm Readmissions Rates for Dual Eligibles

Misha Segal, Policy and Data Analysis Group, Center for Stra-tegic Planning, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, Washington, DC

3:15 pm Networking Break 3:45 pm Area Agency on Aging Roles in the New

Community Care Transitions Program (CCTP) Initiative

Joseph L. Ruby, President and CEO, Akron/Canton Area Agency on Aging, Uniontown, OH

4:15 pm Readmissions and Palliative Care

Nancy Zionts, Chief Program Officer, Jewish Healthcare Foundation, Pittsburgh, PA

4:45 pm Healing in Place™ — Using Technology to Reduce the Risk of Hospital Readmissions

Laura Mitchell, Vice President of Marketing, Grand Care Systems, West Bend, WI

5:15 pm Adjourn

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CONFERENCE THEME III — Hospital Financial and Quality Management in a Value-Based World

8:00 am Welcome and Overview

ShaneWolverton,Principal, The Delta Group, Greeneville, SC (Co Chair)

8:10 am The New CMS Value-Based Purchasing Initiative

PatrickConway,MD,Chief Medical Officer and Director of the Office of Clinical Standards and Quality, Center for Medicare and Medicaid Services, US Department of Health and Human Services, Baltimore, MD

8:50 am Engaging Board Members and Physicians to Drive Hospital Performance

Pam Arlotto, FHIMSS, President and Chief Executive Officer, Maestro Strategies, Roswell, GA

9:30 am Bundled Payment — Challenges and Opportunities for Hospitals

François de Brantes, Executive Director, Health Care Incentives Improvement Institute, Newtown, CTColleen Matthews, FACHE, Director of Clinical Pilots, Horizon Healthcare Innovations, LLC, Newark, NJ

10:15 am Break

10:45 am Employer Demands for Value from Providers … and the New Partnership Opportunities They Offer

DennisWhite,Senior Vice President, Value-Based Purchasing, National Business Coalition on Health, Washington, DCShaneWolverton,Principal, The Delta Group, Greeneville, SC

11:30 am Hospitals and Care Systems of the Future

Pam Rudisill, MSN, MEd, RN, NEA-BC (Invited), Vice President for Nursing/Patient Safety, Health Management Associates, Inc.; Member, AHA Board Committee on Performance Improvement, Naples, FL

12:00 pm Networking Lunch

1:00 pm Welcome and Overview

Jackie H. Edwards, Partner, Health Industries Advisory, Rev-enue Performance Management Practice, PwC, Los Angeles, CA (Co Chair)

1:15 pm Patient Experience as an Indicator of Quality

SethGlickman,MD,MBA,Assistant Professor of Emergency Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC

1:45 pm Which Hospitals Have the Best Patient Satisfaction Scores and Why?

DorothyRubio(Invited),President, Patient Communications, Conifer Health Solutions, St. Petersburg, FL

2:15 pm Moving HACs, Never Events, and Medical Errors to Zero

DoronSchneider,MD,Associate Patient Safety Officer and Medical Director, Center for Patient Safety and Health Care Quality, Abington Memorial Hospital, Abington, PA

2:45 pm Overview of Successful Strategies for Reducing Preventable Hospital Readmissions

RalphWuebker,MD,MBA,Vice President, Audit, Compliance and Education, Executive Health Resources, Newtown Square, PA

3:15 pm Networking Break

3:45 pm Protecting Your Billing Privileges: A New Look at Medicare Enrollment

EmilyW.G.Towey,JD,MHA,Director, Hancock, Daniel, Johnson & Nagle, P.C., Glen Allen, VA

4:15 pm Hospital and Health System CFO Panel

DianeCorrigan,Chief Financial Officer, Hospital of the University of Pennsylvania, Philadelphia, PADianeHarden,CPA(Invited),Chief Financial Officer, De Kalb Medical Center, Decatur, GARosemary Rotty, MHA, FHFMA, Director, Service Line Finance, UMass Memorial Medical Center, Worcester, MA Jackie H. Edwards, Partner, Health Industries Advisory, Rev-enue Performance Management Practice, PwC, Los Angeles, CA (Moderator)

5:15 pm Adjourn

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9:45 am Networking Break

10:15 am Proven Strategies for Surviving — and Thriving — in a Value-Based World: A Conversation with Baldrige Award Winners

James M. Connelly, Chief Financial Officer and Senior Vice President, Henry Ford Health System, Detroit, MICharles Derus, MD, MM, Vice President, Medical Manage-ment, Advocate Good Samaritan Hospital, Aurora, ILLiz Readeau, RN, MSN, Corporate Director of Nursing, AtlantiCare, Atlantic City, NJKathleen Goonan, MD, Chief Executive Officer, Goonan Performance Strategies, LLC; Associate in Health Policy, Massachusetts General Hospital, Boston, MA (Moderator)

11:30 am Top Issues for Providers: The New Realities of a Value-Based World

Ceci Connolly, Managing Director, PwC Health Research Institute, Washington, DC

12:00 pm Adjournment

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Friday, June 1, 2012NATIONAL MEDICARE-MEDICAID PAYMENT SUMMIT

Closing Plenary Session — The Road Ahead8:00 am Welcome and Overview

Kathleen Goonan, MD, Chief Executive Officer, Goonan Per-formance Strategies, LLC, Associate in Health Policy, Massachu-setts General Hospital, Boston, MA (Co Chair)

8:15 am The Road Ahead — The Transition from Volume to Value-Based Payment

Richard Clarke, President, Healthcare Financial Management Association (HFMA), Westchester, IL

8:45 am Legal and Regulatory Issues Ahead

Sara Kay Wheeler, Partner, King & Spalding, LLP, Atlanta, GA

9:15 am An Outcome-Based Rather than Output-Based Compliance Review Program

Richard P. Kusserow, Chief Executive Officer, Strategic Manage-ment Services, LLC; Former Inspector General, US Department of Health and Human Services, Alexandria, VA

Attend Both Conferences! Hybrid Conferences/Internet Events (See website for details.)

Medicare-Medicaid Payment Incentives and Penalties Summit

The FIRST NATIONAL

Co-located May 30 – June 1, 2012Hyatt Regency Crystal City at Reagan Airport • Arlington, VA

www.MedicareMedicaidPaymentSummit.com

Medicaid CongressSuccessful State Models for Dual Eligibles, Health Homes, and Medicaid Expansion

The SEVENTH NATIONAL

The Leading Forum on Recovery Audits, Readmissions, Value-Based Purchasing, HACs and Never Events, and Managing to Medicare Margins

www.MedicaidCongress.com

Our 2-conference registration package enables you to participate in both conferences onsite or online — details on registration page.

Illus

trat

ions

by

John

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e

Plan to Attend in 2012! Hybrid Conferences/Internet events (See website for details.)

Third National Accountable Care Organization (ACO) SummitThe leading Forum on Accountable Care organizations (ACos) and Related Delivery System and Payment ReformSponsoredbyEngelbergCenterforHealthReformattheBrookingsInstitutionandDartmouthInstituteforHealthPolicyandClinicalPractice•MediaPartners:Harvard Health Policy Review and Health Affairs

June6–8•GrandHyatt,Washington,DC www.ACOSummit.com

Second National Bundled Payment SummitThe leading Forum on the Role of Healthcare Payment Reforms with Special Focus on Bundled Payment ApproachesSponsored by the Integrated Healthcare AssociationMedia Partners: Harvard Health Policy Review, Health Affairs, Accountable Care News, and Medical Home News

June12–13•GeorgeWashingtonUniversity,Washington,DC www.BundledPaymentSummit.com

Eleventh National Quality Colloquium on the Campus of Harvard UniversityThe leading Forum on Patient Safety, Quality enhancement and Medical error ReductionSponsored by Jefferson School of Population HealthMedia Partners: Harvard Health Policy Review, Health Affairs, and Patient Safety & Quality Healthcare

August13–15•HarvardUniversity,Cambridge,MA www.QualityColloquium.com

First National Health Insurance Exchange SummitMedia Partners: Harvard Health Policy Review, Health Affairs, and Patient Safety & Quality Healthcare

October•Washington,DC www.HealthInsuranceExchangeSummit.com

Fourth National Comparative Effectiveness SummitThe leading Forum on the Role of Comparative effectiveness Research in Health System Change and Health ReformMedia Partners: Harvard Health Policy Review, Health Affairs, Accountable Care News and Medical Home News

October•Washington,DC www.ComparativeEffectivenessSummit.com

Third National Accountable Care Organization (ACO) CongressThe leading Forum on Accountable Care organizations (ACos) and Related Delivery System and Payment ReformProduced by California Association of Physician Groups (CAPG) and Integrated Healthcare Association (IHA)Media Partners: Harvard Health Policy Review, Health Affairs, Accountable Care News and Medical Home News

October30–November1•BeverlyHilton,LosAngeles,CA www.ACOCongress.com

Co-locatedinNovember•Washington,DC:

Fourth National Medicare Readmissions SummitThe leading Forum on the New Medicare 30 Day Readmissions Rules and Technology-enabled Strategies for Transitions of Care

Media Partners: Harvard Health Policy Review and Health Affairs www.ReadmissionsSummit.com

Seventh National Medicare RAC SummitThe leading Forum on the Medicare Recovery Audit Contractor (RAC) Program

Media Partners: Harvard Health Policy Review and Health Affairs www.RACSummit.com

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REGARDING INTERNET REGISTRATIONS1. Individuals or groups may register for Internet access. Organizations may register for group access without presenting specific registrant names. In such instances the registering organization will be presented a series of user names and passwords to distribute to participants.2. Each registrant will receive a user name and password for access. Registrants will be able to change their user names and passwords and manage their accounts.3. Internet registrants will enjoy six (6) months of access from the date of issuance of a user name and password.4. Only one user (per user name and password) may access archived conference. It is not permissible to share the user name and password with third parties. Should Internet registrants choose to access post conference content via alternative media (Flash Drive), this individual use limitation applies. It is not permissible to share alternative media with third parties.5. User name and password use will be monitored to assure compliance.6. Each Internet registration is subject to a “bandwidth” or capacity use cap of 5 gb per user per month. When this capacity use cap is hit, the reg-istration lapses. Said registration will be again made available at the start of the next month so long as the registration period has not lapsed and is subject to the same capacity cap.7. For online registrants there will be no refunds for cancellations. Please call the Conference Office at 800-503-3650 or 206-452-5675 for further information.

REGARDING ONSITE REGISTRATION, CANCELLATIONS AND SuBSTITuTIONS1. For onsite group registrations, full registration and credit card informa-tion is required for each registrant. List all members of groups registering concurrently on fax or scanned cover sheet.2. For onsite registrants there will be no refunds for “no-shows” or for cancellations. You may send a substitute or switch to the online option. Please call the Conference Office at 800-503-3650 or 206-452-5675 for further information.

METHOD OF PAYMENT FOR TuITIONMake payment to Health Care Conference Administrators LLC by check, MasterCard, Visa or American Express. Credit card charges will be listed on your statement as payment to HCCA Conferences. Checks or money orders should be made payable to Health Care Conference Administrators LLC. A $30 fee will be charged on any returned checks.

REGISTRATION OPTIONSRegistration may be made online or via mail, fax or scan.You may register through either of the following: • Online at www.MedicareMedicaidPaymentSummit.com.• Fax/Mail/Email using this printed registration form. Mail the completed form with payment to the Conference registrar at 22529 39th Ave. SE, Bothell, WA 98021, or fax the completed form to 206-319-5303, or scan and email the completed form to registration@hcconferences.com. Checks or money orders should be made payable to Health Care Confer-ence Administrators LLC.The following credit cards are accepted: American Express, Visa or MasterCard. Credit card charges will be listed on your statement as payment to HCCA Conferences.

For registrants awaiting company check or money order, a credit card number must be given to hold registration. If payment is not received by seven days prior to the Summit, credit card payment will be processed.

TAX DEDuCTIBILITYExpenses of training including tuition, travel, lodging and meals, incurred to maintain or improve skills in your profession may be tax deductible. Consult your tax advisor. Federal Tax ID: 91-1892021.

CONTINuING EDuCATION uNITS (CEus)The Summit does not offer pre-approved Continuing Educations Credits (CEUs) directly. However, onsite attendees can request a Certifcate of At-tendance which they can file with appropriate entities for credit, and online attendees can request an Online Certificate of Attendance on which they can certify the number of hours they watched and can file with appropriate entities for credit.

CANCELLATIONS/SuBSTITuTIONSNo refunds will be given for “no-shows” or for cancellations of either online or onsite registrations. You may send a substitute or transfer your onsite registration to an online registration. For more information, please call the Conference Office at 800-503-3650 or 206-452-5675.

INTELLECTuAL PROPERTY POLICYUnauthorized sharing of Summit content via Internet access through the sharing of user names and passwords or via alternative media (Flash Drive) through the sharing of said media is restricted by law and may subject the copyright infringer to substantial civil damages. The Summit aggressively pursues copyright infringers. If a registrant needs the ability to share Summit content within his or her organization, multiple Summit registrations are available at discounted rates.The Summit will pay a reward for information regarding unauthorized sharing of Summit content. The reward will be one quarter (25%) of any recovery resulting from a copyright infringement (less legal fees and other expenses related to the recovery) up to a maximum reward payment of $25,000. The payment will be made to the individual or individuals who in the opinion of our legal counsel first provided the factual information, which was necessary for the recovery. If you have knowledge regarding the unauthorized Summit content sharing, contact the Summit registration office.

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and conditions shall apply in the case of any credit/debit card dispute.

GENERAL TERMS AND CONDITIONSProgram subject to cancellation or change. If the program is cancelled the only liability of the Summit will be to refund the registration fee paid. The Summit shall have no liability regarding travel or other costs. Registration form submitted via fax, mail, email or online constitutes binding agreement between the parties.

FOR FuRTHER INFORMATIONCall 800-503-3650 (Continental US, Alaska and Hawaii only) or 206-452-5675, send e-mail to registration@hcconferences.com, or visit our website at www.MedicareMedicaidPaymentSummit.com.

THE FOLLOWING REGISTRATION TERMS AND CONDITIONS APPLY

HOW TO REGISTER: Fully complete the form on page 11 (one form perregistrant, photocopies acceptable). Payment must accompany each registration (U.S. funds, payable to Health Care Conference Administrators, LLC).ONLINE: Secure online registration at www.MedicareMedicaidPaymentSummit.com.FAX: 206-319-5303 (include credit card information with registration)MAIL: Conference Office, 22529 39th Ave SE, Bothell, WA 98021FOR REGISTRATION QUESTIONS:PHONE: 800-503-3650 (Continental US, Alaska and Hawaii only) or206-452-5675, Monday-Friday, 7 AM - 5 PM PSTE-MAIL: registration@hcconferences.com

EXHIBIT AND SPONSORSHIP OPPORTuNITIESTake advantage of this unique opportunity to expand your reach! The Summit is attended by highly influential and experienced professionals. Sponsorship offers you strategic positioning as an industry leader. For more information call 206-673-4815 or email exhibits@hcconferences.com.

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Medicare-Medicaid Payment SummitCOMPLETE THE FOLLOWING. PLEASE PRINT CLEARLY:

NAME

SIGNATURE OF REGISTRANT - REQUIRED

JOB TITLE

ORGANIZATION

ONSITE CONFERENCE ATTENDANCE

PRECONFERENCE REGISTRATION❏ RECOVERY AuDIT CONTRACTING $ 495❏ HOSPITAL AND HEALTH SYSTEM BEST PRACTICES IN PREVENTING uNNECESSARY READMISSIONS $ 495

CONFERENCE REGISTRATION - STANDARD RATE (Does not include Preconference):❏ Through Friday, March 9, 2012* $1,195 ❏ Through Friday, April 20, 2012** $1,595 ❏ After Friday, April 20, 2012 $1,995SPECIAL PROVIDER RATE***:❏ Through Friday, March 9, 2012* $ 995 ❏ Through Friday, April 20, 2012** $1,295 ❏ After Friday, April 20, 2012 $1,595SPECIAL ACADEMIC/GOVERNMENT RATE****:❏ Through Friday, March 9, 2012* $ 595 ❏ Through Friday, April 20, 2012** $ 795 ❏ After Friday, April 20, 2012 $ 995RAC CERTIFICATE PROGRAM $ 395(Includes preconference readings and questions, online course and post-conference online examination. Requires RAC preconference & conference registration.)READMISSIONS CERTIFICATE PROGRAM $ 395(Includes preconference readings and questions, online course and post-conference online examination. Requires Readmissions preconference & conference registration.)

GROuP REGISTRATION DISCOuNT (Does not include Preconference):Three or more registrations submitted from the same organization at the same time receive the following discounted rates for conference registration only. To qualify, all registrations must be submitted simultaneously:Conference:❏ Through Friday, March 9, 2012* $ 795 ❏ Through Friday, April 20, 2012** $1,095 ❏ After Friday, April 20, 2012 $1,395

SELECT YOuR PROGRAM CONTENT FOR DAY II❏ I – RECOVERY AuDIT CONTRACTING ❏ II – READMISSIONS❏ III – HOSPITAL FINANCIAL AND QuALITY MANAGEMENT IN A

VALuE-BASED WORLD

CONFERENCE ELECTRONIC MEDIA:Onsite Attendees — Following the Summit, the video and presentations are made available in the following formats. To take advantage of the discounted prices below, you must reserve media WITH your Summit registration:

❏ Flash Drive ($99 + $15 shipping) $ 114 ❏ 6 months’ access on Web $ 99

CO-LOCATED CONFERENCE REGISTRATION:Includes full conference, either onsite or online, for both Medicare-Medicaid Payment Summit and Medicaid Congress. ❏ Through Friday, March 9, 2012* $1,795 ❏ Through Friday, April 20, 2012** $2,195 ❏ After Friday, April 20, 2012 $2,595

ONLINE CONFERENCE ATTENDANCEAll online registrants are automatically registered for the preconferences, conference and the Readmissions and RAC Certificate Programs. Online conference registra-tion includes the live Internet feed from the Summit, plus six months of continued archived Internet access, available 24/7.

INDIVIDuAL REGISTRATION (Includes preconferences and conference):❏ Through Friday, March 9, 2012* $ 795 ❏ Through Friday, April 20, 2012** $1,095 ❏ After Friday, April 20, 2012 $1,395

SPECIAL PROVIDER RATE***:❏ Through Friday, March 9, 2012* $ 595 ❏ Through Friday, April 20, 2012** $ 795 ❏ After Friday, April 20, 2012 $ 995

SPECIAL ACADEMIC/GOVERNMENT RATE****:❏ Through Friday, March 9, 2012* $ 495 ❏ Through Friday, April 20, 2012** $ 595 ❏ After Friday, April 20, 2012 $ 695

GROuP REGISTRATION:Group registration offers the substantial volume discounts set forth below. All online group registrants are enrolled in the preconferences, conference and certifi-cate program. Group registration permits the organizational knowledge coordinator either to share conference access with colleagues or to assign and track employee conference participation.Conference Access: ❏ 5 or more $595 each ❏ 20 or more $395 each ❏ 10 or more $495 each ❏ 40 or more $295 each

See INTELLECTUAL PROPERTY POLICY, page 10.

CONFERENCE ELECTRONIC MEDIA:Online attendees — Following the Summit, the video and presentations authorized for release by speakers are made available on a flash drive. To take advantage of the discounted price below, you must reserve media WITH your Summit registration:❏ Flash Drive ($99 + $15 shipping) $ 114(All online attendees automatically receive 6 months access on web.)

SPECIAL SuBSCRIPTION OFFER FOR BOTH ONSITE AND ONLINE ATTENDEES:Online attendees — you can purchase an annual subscription to Accountable Care News, Medical Home News, Predictive Modeling News, or Readmissions News for only $295 (regular rate $468) when ordered with your conference registration.❏ Accountable Care News $ 295 ❏ Predictive Modeling News $ 295❏ Medical Home News $ 295 ❏ Readmissions News $ 295 * This price reflects a discount for registration and payment received through Friday, 3/9/12.** This price reflects a discount for registration and payment received through Friday, 4/20/12.*** Provider is a hospital, long term care, home health, physician, or hospice organization or its association.**** For the purpose of qualifying for the academic/government rates, “academic” shall apply to individuals who are full-time teaching staff at an academic institution (i.e. not an adjunct faculty mem-ber with a job elsewhere) or a full-time student at an academic institution (i.e. not with a full-time job elsewhere); and “government” shall apply to individuals who are full-time employees of federal, state or local regulatory agencies. This rate does not include the Preconference for onsite attendees.

REGISTRATION BINDING AGREEMENTRegistration (whether online or by this form) constitutes a contract and all of these terms and conditions are binding on the parties. In particular, these terms and condi-tions shall apply in the case of any credit/debit card dispute. For online and onsite registrants there will be no refunds for “no-shows” or cancellations.

ACCOUNT #

EXPIRATION DATE SECURITY CODE

NAME OF CARDHOLDER

SIGNATURE OF CARDHOLDER

PAYMENT Discount Code:

TOTAL FOR ALL OPTIONS, ONSITE OR ONLINE:Please enclose payment with your registration and return it to the Registrar at Medicare-Medicaid Payment Summit, 22529 39th Ave SE, Bothell, WA 98021, or fax your credit card payment to 206-319-5303.

You may also register online at www.MedicareMedicaidPaymentSummit.com.

❏ Check/money order enclosed (payable to Health Care Conference Administrators LLC)

❏ Payment by credit card: ❏ American Express ❏ Visa ❏ MastercardIf a credit card number is being given to hold registration only until such time as a check is received it must be so noted. If payment is not received by seven days prior to the Summit, the credit card payment will be processed. Credit card charges will be listed on your statement as payment to HCCA Conferences.

ADDRESS

CITY/STATE/ZIP

TELEPHONE

E-MAIL

❏ Special Needs (Dietary or Physical)

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Medicare-Medicaid Payment Incentives and Penalties SummitPublications Printing Dept. 41651 Corporate Way Palm Desert, CA 92260 USA

(Address for Return Mail only)

Medicare-Medicaid Payment Incentives and Penalties SummitThe Leading Forum on Recovery Audits, Readmissions, Value-Based Purchasing, HACs and Never Events, and Managing to Medicare Margins

The FIRST NATIONAL

May 30 – June 1, 2012Hyatt Regency Crystal City at Reagan Airport

Arlington, VA

A Hybrid Conference,

Internet Event & Training Tool

See page 4

www.MedicareMedicaidPaymentSummit.com

A Hybrid Conference,

Internet Event & Training Tool

See page 4

www.MedicareMedicaidPaymentSummit.com